Surgical Suturing, the Checklist and more Friendships

< Adnan Šabić (National Officer on Medical Education of BoHEMSA, IFMSA), Haris Čampara (InciSioN B&H Head of Research), Ajla Hamidović (InciSioN B&H Head of Advocacy), Ahmed Mulać (InciSioN B&H member), Emina Letić (InciSioN B&H Chair) >

Suturing is one of the most used surgical procedures in the world, utilized even in non-surgical fields such as general practice. As such, it is an integral part of wound processing, which has to be methodical in order to avoid infections and reduce scarring.
In settings where healthcare professionals are not trained correctly for suturing or don’t have the necessary material, patient’s care is severely affected. The importance of learning the suturing skills is vital to all doctors whether they are going to become surgeons or not.

The “Surgical Suturing Course” was held for the first time on July, 19th, 2018  at the Faculty of Medicine of Sarajevo for students who were on an exchange (visiting students). The main objective of this project was to enable students to adequately cover all forms of wounds. Our SCOME course was realized with the help of the Department of Surgery and more specifically Dr Zlatan Zvizdić, Dr Amel Hažimehmedagić and Dr Bekir Rovčanin. The workshop was in two parts, the first part was a lecture on surgical suturing techniques – Wound, healing, suturing materials, surgical skills; given by student Rusmir Gadžo, and the second part was practical and taught students how to make surgical nodes and properly place various sutures.

Then, InciSioN B&H presented the WHO Surgical Safety Checklist to the students explaining why and how it was developed and the results of the studies which confirmed its helpfulness in the operating room. Also we presented the work of Dr. Atul Gawande (one of the founders of The Checklist) and his book, The Checklist Manifesto.

At the end of the workshop, students understood that although surgical skills are necessary for treating patients, other tools can improve patient’s outcomes and the Cheklist is a perfect example.

“The volume and complexity of knowledge today has exceeded our ability as individuals to properly deliver it to people—consistently, correctly, safely. We train longer, specialize more, use ever-advancing technologies, and still we fail” Dr. Atul Gawande in The Checklist Manifesto.

The power of the Checklist lies in enhancing and improving the communication between the members of a surgical team gathering all their abilities and knowledge to serve the patient. It brings the team together and encourages them to develop closer relationships, confidence in each other and friendships. Similarly, from now on, whenever they see a Checklist, all participants of the workshop will remember this day they spent in Sarajevo and the people they met confirming once more that the Checklist brings people together.




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